The annual OPM call letter setting terms for the FEHB for the following year says that while plans have taken steps to limit unexpected out-of-network billing for members through various education and outreach efforts, “the fact remains that FEHB members continue to encounter unexpected charges from out-of-network providers who render services within in-network facilities.” It encouraged carriers to stress policies including: working with contracted facilities to steer members to in-network providers; examining how emergency room care, regardless of network status, is reimbursed and billed; reviewing facility contracts to ensure in-network medical providers are available; and better informing enrollees about the potential costs of out of network treatment, among other steps.